Wagner, William

Wagner, William is an sole proprietor health care provider with primary practice located at 9701 Apollo Dr Suite 441, Largo MD 20774-4783. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wagner, William can be contacted via phone (410) 318-9215.

Contact Information

Primary practice address
9701 Apollo Dr Suite 441 Largo MD 20774-4783
Fax: (240) 764-6741
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC4481 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC4481 Maryland

Profile Details

NPI number 1386986677
LBN Legal business name Wagner, William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2013
Last updated Mar 25th, 2013 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386986677 NPPES
Maryland Other LC4481 MD LICENSE LC4481

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